Individual provider Active NPI

Kristy Kaltenbronn, RDH

  • Dental Hygienist
  • Hillsboro, MO
National Provider Identifier
1861048738
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
2014016066 Issued in MO
Practice address
405 Main St
Hillsboro, MO 63050-4351
Phone
(636) 797-3737
Fax
(636) 797-4631
NPI assigned
Aug 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 2014016066 MO Primary

Addresses

Primary practice location

405 Main St
Hillsboro, MO 63050-4351

Mailing address

405 Main St
Hillsboro, MO 63050-4351
Phone (636) 797-3737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2014016066MOMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson County Health Department CurrentSince Aug 18, 2019 Accepting new patients
Compass Health, Inc PastSince Aug 18, 2019 Accepting new patients

Locations

405 Main St
Hillsboro, MO 63050
Phone (636) 677-9977

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1861048738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 MAIN ST",
            "city": "HILLSBORO",
            "state": "MO",
            "postal_code": "630504351",
            "telephone_number": "636-797-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 MAIN ST",
            "city": "HILLSBORO",
            "state": "MO",
            "postal_code": "630504351",
            "telephone_number": "636-797-3737",
            "fax_number": "636-797-4631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALTENBRONN",
        "first_name": "KRISTY",
        "name_prefix": "Mrs.",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-15",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MO",
            "license": "2014016066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.